Characterization of amputees at a large hospital in Recife, PE, Brazil.

BACKGROUND: Limb amputation can be defined as a procedure that consists of separating a limb or a segment of a limb from the body. OBJECTIVES: To describe the profile of limb amputation procedures performed at a large hospital run by the state of Pernambuco (Brazil). METHODS: Cross-sectional descriptive and retrospective study conducted at a large hospital in the city of Recife, PE. Data were collected from the records of patients who underwent amputations during 2017. Records from patients who had had a limb amputation during 2017 were included, unless data were illegible or missing. RESULTS: A total of 328 procedures were performed on 274 patients, the majority of whom were male (57.7%). There was a predominance of lower limb amputations (64.2%), of non-traumatic causes (86.5%), and urgent treatment (96.4%). The majority of patients who underwent amputations remained in hospital for 11 to 25 days (32.1%). The study found that the majority of amputees were discharged (69.7%), although a proportion died. Deaths of lower limb amputees were primarily among elderly women in the age range of 60 to 90 years (76%), females (55%), and patients subjected to a single amputation (91%). CONCLUSIONS: The data observed in this study are alarming, particularly considering that many of these amputations could have been avoided, since they were caused by complications of diseases that can be prevented and controlled at healthcare services of a lower level of complexity and at a relatively low cost.

Caracterização das pessoas amputadas de um hospital de grande porte em Recife (PE, Brasil) / Characterization of amputees at a large hospital in Recife, PE, Brazil

A amputação de membros pode ser definida como um procedimento que consiste em separar do corpo um membro ou segmento dele. Objetivos Descrever o perfil dos procedimentos de amputações de membros realizados em um hospital estadual de grande porte. Métodos Estudo transversal do tipo descritivo e retrospectivo realizado em um hospital de grande porte da cidade de Recife (PE). Os dados foram coletados em registros de pacientes que foram submetidos à amputação no ano de 2017. Foram incluídos pacientes que tiveram seu membro amputado em 2017 e excluídos aqueles com informações ilegíveis ou incompletas. Resultados Foram realizados 328 procedimentos em 274 pacientes, a maioria do gênero masculino (57,7%). Houve predominância de amputações em membros inferiores (64,2%), de causa não traumática (86,5%) e atendimentos de urgência (96,4%). A maioria dos pacientes submetidos a amputações ficaram internados por um período de 11 a 25 dias (32,1%). Este estudo mostrou que a maioria das pessoas amputadas recebeu alta (69,7%) e uma parte foi a óbito, sendo os óbitos, no caso das amputações de membros inferiores, principalmente de pessoas idosas na faixa etária de 60 a 90 anos (76%), do sexo feminino (55%), e submetidas a uma amputação (91%). Conclusões Os dados apresentados neste estudo são alarmantes, principalmente ao se considerar que muitas das amputações poderiam ter sido evitadas, visto que foram decorrentes de complicações de doenças cuja prevenção e controle podem ser realizados em outros níveis de complexidade do sistema e com custo relativamente baixo

Limb amputation can be defined as a procedure that consists of separating a limb or a segment of a limb from the body. Objectives To describe the profile of limb amputation procedures performed at a large hospital run by the state of Pernambuco (Brazil). Methods Cross-sectional descriptive and retrospective study conducted at a large hospital in the city of Recife, PE. Data were collected from the records of patients who underwent amputations during 2017. Records from patients who had had a limb amputation during 2017 were included, unless data were illegible or missing. Results A total of 328 procedures were performed on 274 patients, the majority of whom were male (57.7%). There was a predominance of lower limb amputations (64.2%), of non-traumatic causes (86.5%), and urgent treatment (96.4%). The majority of patients who underwent amputations remained in hospital for 11 to 25 days (32.1%). The study found that the majority of amputees were discharged (69.7%), although a proportion died. Deaths of lower limb amputees were primarily among elderly women in the age range of 60 to 90 years (76%), females (55%), and patients subjected to a single amputation (91%). Conclusions The data observed in this study are alarming, particularly considering that many of these amputations could have been avoided, since they were caused by complications of diseases that can be prevented and controlled at healthcare services of a lower level of complexity and at a relatively low cost

A Qualidade de Vida de Idosos com Obesidade ou Sobrepeso / The Quality of Life of Elderly Peoplewith Obesity or Overweight

Objetivo: avaliar a qualidade de vida de idosos com obesidade ou sobrepeso acompanhados na Atenção Primária à Saúde. Material e Métodos: estudo descritivo transversal, Os dados foram coletados no período de fevereiro a maio de 2016, na residência dos idosos utilizando para a coleta de dados um formulário sociodemográfico e clínico e um questionário específico desenvolvido pela Organização Mundial da Saúde para avaliar qualidade de vida em idosos ­ World Health Organization Quality of Life GroupOld. A amostra foi constituída de 27 idosos com obesidade ou sobrepeso Resultados: Os resultados sociodemográficos mostraram uma predominância do sexo feminino (81,48%), média de 69,70 anos (desvio-padrão= 7,33), baixa escolaridade (40,74%), casados (55,56%), negros (44,44%) e aposentados (74,04%). Pelas variáveis antropométricas a maioria das mulheres apresentava obesidade moderada (50%), em que 100% das idosas estavam com risco muito elevado relacionado a circunferência abdominal e 40% dos idosos estavam com risco muito elevado da circunferência abdominal e a maioria dos homens com sobrepeso (60%). A Relação Cintura Quadril mostrou que 86,36% das idosas estavam com valores >85 e 100% dos homens com valores >90. A maioria dos idosos apresentou uma qualidade de vida regular, com menos comprometimento nos domínios intimidade, autonomia, funcionamento do sensório e atividades passadas presentes e futuras e mais comprometimento nos de morte e morrer e participação social. Conclusão: a qualidade de vida encontrou-se afetada no contexto que envolve a finitude do ser e sua inserção e interação social. (AU)

Objective: To evaluate the quality of life of elderly people with obesity or over weight followed-up at the Primary Care Level. Material and Methods: This was a descriptive cross-sectional study carried out from February to May 2016. The data were collected using a socio demographic and clinical form and a specific questionnaire developed by the World Health Organization to evaluate the quality of life of elderly people - World Health Organization Quality of Life Group. Results: The socio demographic results showed a predominance of females (81.48%); with a mean age of 69.70 years (standard deviation = 7.33);low education level (40.74%);married (55.56%); black race (44.44%);and retirees (74.04%). According to anthropometric variables, the majority of females presented moderate obesity (50%), in which 100% of the elderly women were at a very high risk related to abdominal circumference. As for males,40% of the elderly were found to be at a very high risk of abdominal circumference and the majority of them were overweight (60%). The Hip: Waist Ratio showed that 86.36% of the elderly women hadvalueshigherthan85 and 100% of the men had values high erth an 90. The majority of the elderly presented a regular quality of life, with less impairment in the do mains of intimacy, autonomy, functioning of the sensorium and past and present activities, and a greater impairment in the domains of death and dying and social participation. Conclusion: The quality of life was affected in the context that involves the finitude of the being and social integration and interaction. (AU)